Organization
ARKEYE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE DANIEL O.D. (PRESIDENT)
(804) 733-8274
Entity
Organization
Contact information
Practice address
300 A AVENUE, BLDG 1605, FORT LEE, VA 23801
(256) 737-9109
(804) 732-0516
Mailing address
300 A AVE, BLDG 1605, FORT LEE, VA 23801-1520
(479) 841-5902
(804) 732-0516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001611
VA
Other
Enumeration date
12/14/2009
Last updated
10/01/2013
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